Organization
THE SALVATION ARMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD D ALLEN (ASSISTANT SECRETARY -LEGAL)
(845) 620-7330
Entity
Organization
Contact information
Practice address
4050 CONSHOHOCKEN AVE, PHILADELPHIA, PA 19131-2826
(215) 400-6097
Mailing address
4050 CONSHOHOCKEN AVE, PHILADELPHIA, PA 19131-2826
(215) 400-6097
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/13/2019
Last updated
06/13/2019
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